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House Progressives Force Another Mark-Up Delay

And here we go again. Now that House Energy and Commerce Committee chairman Henry Waxman has enough Blue Dog support to pass the bill, he has to sell it with progressives. And that's not proving to be as easy as he'd hoped.

"[They] have a lot of questions about the legislation," Waxman told reporters, "and I think it's more important that we sit in the Democratic Caucus and let people ask questions, get answers, hear each other out."

What exactly are their concerns? Well, for one, the compromise included a change to the public option that could weaken it on the merits. As originally written, the House bill would have temporarily tied the public option's pay rates to Medicare rates. Now they'll be negotiated by the Secretary of Health and Human Services, meaning the rates will vary regionally, and often fall closer to private insurance rates than government rates.

But more generally, the Congressional Progressive Caucus basically believes that their views have been marginalized throughout the Blue Dog process, and are understandably frustrated about being asked to accept compromises with Blue Dogs when they've already compromised a great deal. Last week, several House progressives warned that they couldn't tolerate any further weakening of the public option, and asked to play a greater role in negotiations. Now they feel leaders ignored their concerns.

The mark up was scheduled to resume tonight, but now it looks like it will have to wait until tomorrow, with the goal still to pass the bill by Friday.


49 Comments

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Leaving governance to Democrats..sheesh..

STFU already

Kaiser Family Foundation 7/7-14/09; 1,205 adults, 3% margin of error Mode: Live telephone interviews

National
State of the Country
33% Satisfied, 61% Dissatisfied

Do you think (____) would be better off or worse off if the president and Congress passed health care reform, or don't you think it would make much difference?
You and your family: 39% Better off, 21% Worse off
The country as a whole: 51% Better off, 23% Worse off
Do you favor or oppose...
Creating a government-administered public health insurance option similar to Medicare to compete with private health insurance plans
59% Favor, 36% Oppose
Requiring all Americans to have health insurance, either from their employer or from another source, with financial help for those who can't afford it
68% Favor, 29% Oppose

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US: Health Care (Time 7/27-28)
from Pollster.com All Content by pollster.emily@gmail.com (Emily Swanson)
by Emily Swanson

Time / Abt SRBI 7/27-28/09; 1,002 adults, 3% margin of error Mode: Live telephone interviews (Time story, SRBI analysis)

National
Obama Approval / Disapproval
Health Care: 46 / 46 (chart)

Importance of Passing Health Care Reform

69% Very / Somewhat
28% Not very / Not at all

Would it be better to pretty much stay with the current healthcare system and just
make some minor adjustments, or does the system need major reform?

55% Major reform
43% Minor adjustments

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Healthcare: 'Losing the Message War?'
from Pollster.com All Content by mark@pollster.com (Mark Blumenthal)
by Mark Blumenthal


Is Obama losing the message war on health care? That was the question implied by my post yesterday, and it's the question that Chuck Todd and his colleagues at First Read ask this morning.
First, the anecdotal evidence via First Read:
Perhaps the biggest thing that stood out to us at President Obama's AARP town hall yesterday was that the White House appears to be losing the message war on health care. How do we know? Just listen to the questions the AARP callers had. Several of them asked about "rumors," and they also brought up GOP talking points on "rationing" or the government coming to your house to ask how you want to die (!!!).

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How can Democrats possibly win a message war on anything as long as the Benedict Arnold Blue Cross Dogs believe their entire purpose in life is to sell right wing conservative Republican values?

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The problem isn't the Blue Dogs or the Progressives.

The problem is that the Democrats have no bills, no plan and thus no message leaving a free fire zone open for anti-reform message including the most incredible rumors (euthanasia)

This is no accident either. Patients United has an ad running right now "Congress read the bill" (what bill??) and how it will trash seniors


The House Bill, the HELP bill and the Finance Committee bills once they're all reported out will put a stop to this attention to Capitol Hill games and frame a debate that Americans can understand, allowing dems to get back on message

Blumenthal gets it
http://www.pollster.com/blogs/healthcare_losing_the_message.php

So does Nate Silver
http://www.fivethirtyeight.com/2009/07/obama-democrats-flunking-health-care.html

The Time and Kaiser Polls confirm their fears

Time for Blue Dogs and Yellow Dogs to go back to their respective kennels and get about the business of passing health care reform this year, back to the business of governing


If they don't come next year they will both pay dearly


#)Y$#@@!!

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Ahem!



Poll Shows Obama’s Clout on Health Care Is Eroding
By ADAM NAGOURNEY and MEGAN THEE-BRENAN

President Obama’s ability to shape the debate on health care appears to be waning as opponents portray the effort as a government takeover, according to a New York Times/CBS News poll.

http://www.nytimes.com/2009/07/30/us/politics/30poll.html?hp

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What me worry?

We can use Maxine Waters's and Lynn Woolsey's clout to see this through...

By all means progressives stop the Waxman compromise, break Baucus....

Good God

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NBC/WSJ

From what you have heard about Barack Obama's health care plan, do you think his plan is a good idea or a bad idea?

36% Good idea, 42% Bad idea

Note the differences with the more specific goal oriented, broad outline questions in the Time/Kaiser and NyT Polls


Like duh..WHAT PLAN?

In the Time Poll, the Kaiser Poll, the NyT poll the voters embrace the President's "plan" by substantial margins

That is a message failure, playing right out in front of us and due pretty much entirely to the fact that the Congress with its 24% approval rating has dominated every health care news cycle since the 4th of July break

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The problem is custom designed by both the White House and the Congress. They are so totally gutless that they won't say what they are even trying to do. Healthcare reform means what? Means anything. Means nothing. Universal healthcare means something - it doesn't express all the details but it commits to something. Single payer commits to genuinely major change. An extension of Medicare would be understandable.

Reform? Ha! Who is being reformed? Insurance companies? Providers? Patients? the poor? the rich? the old? the young? who knows.

But I'll tell you the number one reason they don't have a message. They don't give a damn. They have no passion for this issue. And the public isn't so stupid that they can't tell.

I voted against Amy Klobuchar the minute she said universal healthcare is unrealistic because that told me all I would ever need to know about her. She doesn't give a damn. So she will vote for any bill no matter how bad it is and if it fails she'll just say I told you universal healthcare is unrealistic.

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UR right it means nothing which is because it means a thousand things

There is a 1000 page bill waiting in Energy and Commerce which provides but one answer to your righteously accurate lament

Fer crissakes get it out

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I think you have it right. The biggest problem is that this is taking forever. health care reform has to be done quickly, with a clear plan and a way to roll ut out publicly.

Delays play into the hands of opponents - a clear piece of legislation can be wielded as a hammer on those weasels who lie about the public option being used for suicide and human-chimp intermarriage or whatever.

Get it out, get it done, fight back, Congressional Dems!

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I'm glad the Progressive Caucus wants this review and I hope they will not let a crap bill get out of the committee. Stand Up Progressives for real reform and nothing less!

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Agree wholeheartily

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I totally agree.

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They can change the dang bill once it gets out of committee. But if it doesn't get out of committee,and doesn't get a vote we will have nothing. And nothing means the Repugs get control of the country again. The purity trolls will love that.

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Wanting a bill that actually does what it claims to do != being a "purity troll"- I'm sick to death of this kind of stupid, ignorant bullshit. And the cohesiveness of the progressive caucus is the ONLY hope for getting a decent bill at all; without that we'd get nothing but Baucus horsecrap. More power to them.

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Baucus is in Senate, he has nothing to do with this.

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Newsflash: there is a DINO caucus in the House as well. Indeed, I suspect you actually know this.

In addition, it is ESSENTIAL to get the strongest House bill possible into conference since the Senate version is unlikely to be as good.

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I know how you feel, but if a lame, compromised bill is what we start with, no way will we get progressive changes.

I honestly think that Congress needs to go home and get an earful from their constituents. It is up to all of us to burn up the phone, fax, and us postal service lines to let our "representatives" know that we want them to represent us rather than the lobbyists who are spending a million dollars a day to buy them!

Sure there are those who the fear-mongers can line up -- euthanasia! government take-over! interfering with your doctor-patient relationship! But they are in the Palin/Beck/Cheney wing of the Party of No, and if the rest of us pipe up, they just might get the message!

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Another thing we have to watch out for here is preventing both the Blue Dogs and the members of the Obama administration who will settle for any bill from gutting Medicare and Medicaid and the SCHIP guarantees to cover children.

The Blue Dogs, by demanding that this bill be hugely underfunded, are provoking a shell game where we rob some poor folks to help out some other poor folks because of course we can't under any circumstances tax the wealthy and we have to have plenty of money left over for all of our tax free wars.

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I am borrowing a comment from Matt Yglesias's blog to try to explain to some people why gilding any old turd and declaring it "health care reform" would not be an accomplishment, nor even a winner in crass political terms, but a disaster all around.

Under the scenario recently sketched by Matt and Ezra, here is what is going to happen- the insurance companies are going to raise their rates massively, and blame “health care reform”. It will be like Medicare Part D, where the drug companies said “Well, thank god, now we can keep raising prices”.

You can forget about regulating these insurance companies. If that worked, we wouldn’t even have these problems. People have been trying to regulate the health care industry since the late 70s, when it became obvious that building too many hospital beds and buying too much diagnostic machinery was raising the rates for everybody. The only people who have been able to regulate the industry have been the doctors, who decided in the 80s that if too many people became doctors, their incomes would go down, so they cut back sharply on the number of people admitted to med schools.

A strong public option is needed to change the culture of health care, and we should refuse to pass a reform that doesn’t provide the public option. The insurance companies would love to see a “reform” that awards them lavish subsidies for staying in the driver’s seat, and lets them blame “reform” for increased costs. It’s the worst of all outcomes and shouldn’t be allowed to happen.

This issue won’t go away if real reformers refuse to pass a sham reform. The issue is fueled by a very real problem, and the problem people have is that their elected senators and representatives are not trying to solve the problem. The solution is, not to force real reformers to support a sham reform, but to force the anti-reformers into the open and make them support real reform.


http://yglesias.thinkprogress.org/archives/2009/07/the-public-plan-you-wont-have-access-to.php#comments
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Yes you borrowed. Thanks for pointing that out and providing the link so that we can all see that your post has nothing much to do with what either Klein or Yglesias wrote

Sorry to burst your bootstrapping but the credibility of your argument...("the gilded turd"?) will have to stand or fall on its own

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and yes, passing a bill or bills is crucial to the whole enterprise..indeed it is the whole point!

Diddling over details in imaginary legislation is patently self-defeating. Conference committee can do as it pleases with columns A,B,C, D..that's where the rubber meets the road but if the Congress continues to wander aimlessly on side streets, it will never find the road.

Not only will health care reform die but with it any number of other issues near and dear to progressives who seem to have great difficulty finding the forest for the trees

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Passing sham "reform" that visibly makes most people WORSE off will have far more severe political consequences. And they'll be hitting the fan just as Obama runs for re-election.

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Which means exactly what this sham reform you speak of


That's a nice tautology - totally meaningless

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Apparently you can't read with comprehension (no surprise there). That comment precisely describes the absolutely predictable consequences of trying to do insurance reform (banning pre-existing conditions etc) and forcing more people to buy what the providers are selling (i.e. an insurance company bailout), but without the market discipline provided by competition from a public plan. It can't and won't work. Anybody who has the most elementary understanding of health care reform knows that a bad bill can and will make a bad situation even worse.

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"The issue is fueled by a very real problem, and the problem people have is that their elected senators and representatives are not trying to solve the problem."

Yes, that's it. They want to pass a bill IF it is perceived to be politically expedient. They don't really care what is in the bill or if it solves any long term problem or if it saves one life.

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Here's what Yglesias actually wrote and it is four square with what I have argued for weeks

The most important part of the bills that actually exist—the part that will impact the lives of most Americans—are the new regulations on insurers.


The administration is proposing:

— A ban on discriminating against people with pre-existing conditions.

— Caps on out-of-pocket spending.

— No cost-sharing for preventive care.

— No “rescission” of coverage for people who get seriously ill.

— No gender discrimination.

— No caps on coverage, either lifetime or annual.

— Extension of family coverage for kids up to the age of 26.

— Guaranteed insurance renewal.

The fact that liberals like to talk about the uninsured and Peter Orszag likes to talk about bending the curve and I, personally, like writing about tax policy and don’t like seeing doctors has tended to obscure this whole set of issues. But your typical middle-aged, middle-class voter is going to be impacted dramatically by this stuff and fairly little by all the rest of it. This is also, in political terms, the stuff that polls really well. The “goodies.”


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And the comment I linked to from serialcatowner succinctly explained exactly why that won't work without a strong public option to exert downward pressure on rates.

I don't think you know or care anything about health policy, frankly.

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Howard Dean would say that you are supporting an insurance reform bill not a healthcare reform bill. No wonder the party has such a difficult time with the messaging. It doesn't really know what it's trying to do. Do we want to reform insurance companies or deliver universal healthcare? This is not new. The old DLC reformed welfare. They did not end poverty, though they have pretty well managed to ban the word "poor" from language used by Democratic politicians.

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Pre-existing conditions and "recision" -- the two most sinister tools in the insurance cos toolbox -- are the two unsung stars of these bills.

Absolutely evil criminal shit.

No matter what happens, those evil practices need to be banned.

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The typical middle aged voter will be greatly impacted if this is all that's in the bill. One of the items left of is the age rating factor. It doesn't matter how long you've had insurance or how healthy you are, the rates skyrocket as you get older. I'm 60 years old and paying 77% of my income for insurance that I don't use.

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Hold your line, Progressives. YOU are not the ones who will be in danger in the next election no matter what happens with healthcare. It is the Blue Cross Dogs that will suffer the consequences. They know that, and so they are bluffing. Call their bluff. Say "no" to healthcare if you must and let it die - and let the chips fall where they may. They won't be falling on you. A fraudulent healthcare bill will keep us from having real healthcare reform for decades, so better to let healthcare reform die this time and live to fight another day, than accept a fraud that will take years to get rid of.

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Like herding cats

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Like talking to a department store dummy.

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Unbelievably I am getting emails via my OFA listservs calling me to Single Payer Rallies

My God, there IS NO SINGLE PAYER LEGISLATION folks

All the energy wasted herding cats blows my mind

here endeth the rant

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Yeah, I don't get that at all. Rally for something that isn't even part of the legislation, while what does exist is in danger of being watered-down into meaninglessness?

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You tell me and we'll both know!

I think of it as the flip side of the euthanasia rumors emmating from the sewers of the right..not a substantive equivalence but a process thing..a symptom of massive drift in the public debate

This is WaPo's headline....this does more to advance the cause of Health Reform than anything in the past month

House Democrats Break Health-Care Gridlock

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Trees....

Earlier in the day, bipartisan negotiators on the Senate Finance Committee announced that a draft of their reform package would carry with a lower-than-expected price tag -- less than $900 billion over 10 years, which would be slightly less expensive than the new goal for the House bill. Taken together, the breakthroughs gave new momentum on both sides of the Capitol toward getting committee approval of President Obama's top domestic agenda item before the House and Senate depart on a month-long recess.

or forest?

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The forest there is that the bill is going to be underfunded. Who in their right mind believes that you can truly transform the American healthcare system while still DELIVERING CARE while you are doing it and do it on the cheap?

Now we know that no wealthy person need fear to be taxed or fear to lose their concierge healthcare.

So who is lying their sick and injured on the cutting room floor of this bill?

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Single payer is not a bad thing to bring up, even now.

The Dem's miscalculated. They should have been talking about SP as a possibility all this time. It would have moved the goalposts leftward. Instead, the public option became the "lefty" extreme and the GOP demonizes it as radical.

A FWIW, I think this bill will be a great interim step in the health care battle. I expect that we will still need to fight for single payer in several years. The nation is clearly not ready for it yet. But eventually it might be our only choice, for purely financial reasons.

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It's like they live in an alternate reality. Do these ASSHOLE blue dogs know that if they block a bill or a shitty bill passes THEY WILL BE THE FIRST TO GO. There is a REASON there are only 2 NE Republicans left, they were on the frontlines in 06 and 08. Hold strong CPC you may very well be our last hope.

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You got the "hang" part right...
So much for your "last hope"


July 30, 2009 -NyT
House Reaches Agreement on Cutting Cost of Health Bill

WASHINGTON — Efforts to pass a comprehensive health care bill took a big step forward on Wednesday as House Democratic leaders reached an agreement with fiscally conservative members of the party, which would cut the cost of the bill and exempt many small businesses from having to provide health benefits to workers. The agreement, brokered by aides to President Obama, overcame a 10-day impasse and allowed a pivotal House committee to resume work on the bill, with an expectation that the panel could approve it later this week. And it came on a day when President Obama journeyed to North Carolina to sell changes in the health care system to the public.
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Beutler's done a fine job whipping the True Believers into a Beck-lite frenzy at TPM

Thank G-d Kleefeld's back! ;=P

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Remember, this is hardly the last time they'll be negotiating. This bill will still be negotiated in September all the way thru the end of the year.

If they are absolutely sure they will still get it done by Friday, fine. But don't screw this up!

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First, let's stop calling these people "Blue Dogs" and start calling them by their real name - the "Lap Dogs" of the Private Insurance Industry.

Second, aren't these "Lap Dogs" the same ones always complaining about the cost of health reform? So how does it make sense for the Government to make the public option much more costly by negotiating the rates regionally instead of tying it to Medicare?

Oh, that's right. The insurance companies don't want to have to compete with an efficient, low overhead medical insurance program like Medicare, so instead their "Lap Dogs" want to force taxpayers to continue subsidizing private insurance companies by paying higher rates. So that the insurance companies can continue ripping off customers while paying their executives and shareholders countless billions of dollars that would otherwise be going towards IMPROVING HEALTHCARE. Call it the 'heads they win, tails we lose' medical plan.

Wouldn't it be a lot easier and ultimately cheaper just to do it the way the mafia does? Let's just pay the insurance companies and HBO's protection money. That's what all this really is, anyway.

Let's go ahead and pay them, say, $200 billion a year to fold up shop and allow us to have a single payer system, which would be much better and cheaper in the long run for everybody. We can have decent health care in America, countless thousands of Americans can live each year who would otherwise die, and they can take their blood money and go off the the Hampshires or the Berkshires or Aspen or Monte Carlo, or wherever the h it is that corporate blood-sucking thugs in Brioni suits go to try and prove to themselves they aren't worthless parasites. Just so long as they take their "Lap Dogs" with them.

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The BlueDogs are not lapdogs. They're representatives who believe, wrongly in my view, that the health care system generally works for the American people. They believe this, likely, because their constituents seem to believe this.

The answer is to make sure that they understand local monopolization. Make sure they understand the effect bankrupcies have on the health care system. Make sure they understand that the AMA -- which represents doctors -- would not support the House bill unless it believed it was good for doctors and patients.

We're going to win this battle, but we won't win it if people insist that those who are a bit to the right of Waters are insurance company representatives. We need these votes.

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It's clear the Blue Dogs played the role of spoilers regarding the public option but here's the deal. Single payer is the only way to go and the fight has to begin now to push this garbage legislation off to the side!

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What about feedback progressive Caucus?

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